SCJCA Coach Volunteer Application Form for SCJCA

SCJCA – Compton Cricket Club Volunteer Application

Please Complete and submit
Personal Information
Name*

PrefixFirst NameLast Name
Birth Date

MonthDayYear
Email*
example@example.com
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

CPR or First Aid Certifications
Are you CPR or First Aid certified?*

YesNo
Submit Proof of Certification(s): File Upload

Cancelof

Background Requirement
Background Check & Certification:

SCJCA is committed to youth safety and requires all Volunteers to complete a LiveScan background check and basic youth safety training
Are you willing to complete a background check?*

YesNo

Child Safety Requirements
Child Safety Requirements

"SCJCA requires that all volunteers who interact with minors-weather in coaching, mentoring, administrative support or event-related roles-complete the required child-safety certifications and screenings, prior to any volunteer activity"
Please confirm you read and agree to the safety requirements above*

I consent
Date*

MonthDayYear
Date
Signature*

Powered by Jotform SignClear
Should be Empty: